POSTDOCTORAL RESIDENCY ... GENERAL PRACTICE RESIDENCY¢â‚¬â€œ ... Pediatric Dental Residency Program. 22

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  • NYU LANGONE DENTAL MEDICINE NYU SCHOOL OF MEDICINE HANSJÖRG WYSS DEPARTMENT OF PLASTIC SURGERY

    POSTDOCTORAL RESIDENCY PROGRAMS

    Martin Lieberman, DDS, MA Vice President, Graduate Dental Education NNOHA 2018 Nov 11, 2018

  • Our Mission:

    As one of the nation’s premier oral health programs, NYU Langone Dental Medicine’s trifold mission to serve, teach, and discover is achieved daily through an integrated academic culture devoted to excellence in patient care, education, and research.

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    • A period of at least 1 year, and often 3 to 7 years of “on the job training,” usually postgraduate, that is part of the formal education program for healthcare professionals. – Medical Dictionary ©2009, Farlex and Partners

    • Dental residency – Pursued after graduation from dental school

    – General dentistry programs: usually 1 year with optional 2nd year, some are two-year programs

    – Specialty dentistry programs: range from 2 to 4 year

    What is a Dental Residency?

  • The Residency Learning Environment

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  • Program Structure

    Health Center

    Hospital

    Residents

    NYU Langone Hospitals Residency program sponsor Centralized program administration Centralized didactic curriculum

    Patients

  • ADA-CODA APPROVED

    LENGTH OF PROGRAM

    ENROLLMENT 2018-2019

    GENERAL PRACTICE RESIDENCY – GPR (Est. 1974)

    YES 1-year with 2-year option 23

    ADVANCED EDUCATION IN GENERAL DENTISTRY – AEGD (Est. 1988) YES

    1-year with 2-year option 240+

    PEDIATRIC DENTISTRY (Est. 1994) YES 2-year 122

    ENDODONTICS (Est. 2004) YES 25 months 11

    DENTAL ANESTHESIOLOGY (Est. 2008) YES 3-year 18

    ORTHODONTICS (Est. 2013) YES 2-year 4

    DENTAL PUBLIC HEALTH (Est. 2013) YES 1-year 10

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    NYU Langone Dental Medicine Programs

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    Many Program Locations NYU Langone Dental Medicine has affiliations with more than 340 sites.

  • • All clinical training sites undergo CODA accreditation. • For organizations with multiple sites, residents are

    typically assigned to a “primary” site & others serve as “minor” or “supplemental” sites or residents can be assigned full time to each of the sites.

    • Sites are actively involved in resident selection process; at least 4 or more residents placed.

    • Dentists are credentialed as AEGD program faculty.

    NYU Langone Hospitals Clinical Training Sites

  • Responsibilities of Clinical Training Sites

    • Provide direct & indirect faculty supervision for residents; general dentists & specialists.

    • Provide auxiliary support (>90%), equipment & supplies.

    • Integrate residents into the clinical practice. • Provide residents with panel of patients and required

    clinical experiences consistent with program requirements & CODA standards.

    • Evaluate residents & monitor their progress. • Include residents in quality assurance activities.

  • Responsibilities of the Clinical Training Sites

    • Minimum of 40 hours per week schedule for residents.

    • Provide resident meeting space. • Participate in meetings scheduled by program

    administration. • Prepare for & participate in CODA accreditation

    activities. • Point of contact at site must maintain regular &

    routine communication with program administration.

  • AEGD Resident Schedule

    Resident Monday Tuesday Weds. Thursday Friday

    Resident 1 Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Resident 2 Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

    Faculty A Faculty B

    DA

  • Responsibilities of the AEGD Program

    • Resident salary • Resident malpractice insurance • Resident medical/dental & time off benefits • PASS/Match • Manages CODA accreditation • Program marketing & resident recruitment • Curriculum development • Management of the outcomes reporting platform • Resident endorsements (state dental boards, etc.)

  • NYU Langone Hospitals AEGD Program; Curriculum

    Clinical – 80% • Full-time general dentistry

    training & practice at CODA approved clinical training sites.

    • Focus on multispecialty, interdisciplinary comprehensive patient case management.

    • Clinical requirements & milestones.

    • Standardized core clinical curriculum.

    Didactic – 20% • Secure online lecture modules

    (Brightspace). • Monthly patient care

    conferences (regional day sessions) through Bluejeans platform.

    • Standardized core didactic curriculum.

  • AEGD Didactic Curriculum 2017-2018

    • Dental Public Health • Emergency Dentistry • Emergency Medicine • Endodontics • Ethics and Professionalism • Evidence Based Dentistry (EBD) • Jurisprudence and Risk Management • Medical and Dental Assessment • Community Based Research for

    AEGD and GPR PGY2 residents • Oral Medicine and Oral Pathology • Oral Surgery • Control of Pain and Anxiety • Periodontics • Pharmacology

    • Practice Management/Administration Laser Dentistry

    • Implant Dentistry • Regional Day Sessions: Treatment Plan

    & Case Presentations; Patient Care Conferences

    • Regional Day Sessions: Literature Review

    • Special Care Dentistry • Orofacial Pain and TMD • Clinical Teaching • Contemporary Dental Risk Management • Cultural Competency • Imaging in Implant Dentistry (Cone

    Beam Volumetric) • HIV Education

  • New Innovations Web-based Outcomes System

    • Daily productivity reporting

    • Clinical milestones

    • Monthly chart audits

    • Tri-annual evaluations (resident, program & faculty)

    • BrightSpace modules

    • Scholarly activities/portfolios

    • Faculty dashboards facilitate monitoring of outcomes

  • Distance Learning model for didactic education

    • Live interactive video teleconferencing (VTC) lets residents participate in lectures in the “virtual classroom” – no matter where you are

    • Asynchronous on-demand self-learning library of VTC lectures – Over 200 course hours in basic science,

    all fields of dentistry and dental-related subject matter

    • Focus remains on 75% clinical- 25% didactic On-demand self learning library Over 200 course hours in basic science, all fields of dentistry and dental-related subject matter

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    NYU Langone Dental Medicine Postdoctoral Residency Program NYU School of Medicine Hansjörg Wyss Department of Plastic Surgery

  • Triple Aim Institute for Healthcare Improvement (IHI)

  • NYU Langone Dental Medicine Residency alignment:

    • Education-based care & culture • Patient-centered care • Medically-integrated care • Patient satisfaction

    Patient Experience (Better Care)

  • NYU Langone Dental Medicine Residency alignment:

    • Increased access to care • Quality improvement science/CODA • Improved clinical outcomes for the

    population

    Health of Populations (Better Health)

  • NYU Langone Dental Medicine Residency alignment:

    • Resident-in-training workforce at little cost to health center affiliates

    • Increased number of provider- residents to care for health center populations

    • Economically sustainable delivery model

    Reducing per Capita Cost (Lower Cost)

  • Fourth Aim: Improving the experience of providing care.

  • Pediatric Dental Residency Program

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    Dr. Daniel Kane Program Director Advanced Education in Pediatric Dentistry

  • New York 1994

    Rhode Island 2003

    Alaska 2005 Hawaii 2009

    Massachusetts 2010

    Arizona/South 2010 Maryland 2011

    California/South 2012

    Washington 2012

    Missouri/South 2013

    Florida 2014

    NYU Langone Dental Medicine Advanced Education in Pediatric Dentistry

    Arizona/Central 2014

    Tennessee 2015

    DK

  • NEW YORK-METRO Dr. Julie Cernigliaro Diplomate, ABPD U. Of Pennsylvania/Northwestern Univ.

    Dr. Rajesh Adhia Diplomate, ABPD Nova Southeastern Univ./NYU Lutheran

    HAWAII Dr. Lynn Fujimoto Board Candidate, ABPD Washington U./UCLA

    NYU Langone Dental Medicine Advanced Education in Pediatric Dentistry

    WASHINGTON STATE: Dr. Jessica De Bord Diplomate, ABPD UCLA/U. of Washington

    CALIFORNIA-SOUTH Dr. David Okuji Diplomate, ABPD UCLA/U. of So. California

    ARIZONA Dr. Krishna Akilesh Diplomate, ABPD Harvard/U. of Connecticut

    MISSOURI Dr. Ashley Popejoy Diplomate, ABPD U. Of Missouri/U. of Illinois

    Dr. Dahlia Michael Diplomate, ABPD UMDNJ/NYU Lutheran

    TENNESSEE Dr. Adolfina Polk Diplomate, ABPD Meharry/U.S. Army

    FLORIDA Dr. Richard Gyles Diplomate, ABPD Columbia U./NYU Lutheran

    MARYLAND Dr. Mariella De Stefano Board Candidate, ABPD UNIME